Navitus Health Solutions is seeking a Project Manager, Implementation TPA/Employer to join our Implementation department!   The Project Manager, Implementation TPA/Employer (IPMT) is a highly motivated professional with at least 3 years of successful project management experience interfacing with TPA and/or employer type clients to manage projects that could include but is not limited to transitioning clients to Navitus from their current PBM, implementing new services/programs, and facilitating a change in vendor relations. The position is responsible for building an early relationship with the clients so they learn to trust us and have confidence that their transition needs will be...

Due to growth we are adding a Analyst, Pricing and Underwriting to our Finance Administration department!   The Analyst, Pricing and Underwriting

Due to growth we are adding a Business Analyst, Government Programs-Med D to our team!   The Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits within the entire corporation. This individual develops an understanding of Government Programs regulations and related CMS and/or state-specific...

Navitus Health Solutions is seeking a Reimbursement Analyst, Pharmacy Network to join our Provider Services department!   The Analyst supports and evaluates agreements with providers and the Maximum Allowable Cost (MAC) program through financial price modeling, analysis, and reporting. This position will communicate and work cross functionally with other teams on generic trends and generic drug discount change effects. Provider and network performance will be analyzed in support of network development, contracting negotiations, and RFP proposals.  The Analyst, under the direction and supervision of the Provider Services leadership, is responsible for maintaining a competitive and...

Navitus Health Solutions is seeking a Sr. Client Services Executive I to join our Contract Performance Management department!

Due to growth, we are adding a Sr. IT Business Relationship Manager to our IT Management department. 

Due to growth, we are adding a Sr. IT Business Relationship Manager to our IT Management department. 

Due to growth, we are adding a Sr. Paralegal to our Legal & Regulatory Affairs department.

Due to growth, we are adding a Engineer, Data Integration to our Data & Digital department.     The...

Due to growth, we are adding a Team Lead, Account Management to EpiphanyRx.     As a Team Lead, Account Management, you...

This is a remote based role requiring consistent travel every other month to spend time onsite at our headquarters in Madison, WI.   Due to growth we are adding a Financial Systems Architect to our Accounting department!   The Financial Systems Architect will be responsible for managing, maintaining, and configuring the systems that process financial and billing data. This role collaborates with internal teams and stakeholders to identify and understand business changes and solutions within the financial systems software to meet those objectives. The Financial Systems Architect...

Due to growth, we are adding a Sr. Analyst, Data Governance to our Data & Digital department.   The Sr. Analyst, Data Governance role has a direct impact on maturing the organization forward; toward a data-driven culture.  The Sr. Analyst, Data Governance champions Enterprise Data Governance within the organization and is essential for...

Lumicera Health Services is seeking a Prior Authorization Specialist to join the team!   Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record....

Lumicera Health Services is seeking a Reimbursement Specialist to join our team!   Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist I is primarily responsible for following standard operating procedures to obtain and process manufacturer copay assistance program reimbursement. The Reimbursement Specialist I shall have knowledge of billing procedures and work to reduce discrepancies, inaccuracy, and outstanding balances. The Reimbursement Specialist I may also assist in contacting patients with an outstanding balance to communicate billing options.   Is this you? Find out more below!

Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Member Services Representative to work on-site in our Earth City, MO office.  This position is responsible for delivering excellent service to members utilizing processes and technology within a call center.  If you are reliable with strong problem-solving and customer service skills, we would love to hear from you

Navitus Health Solutions is seeking an Tester, Benefit Configuration to join our CAO Support department!   The Tester, Benefit Configuration ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members, and pharmacies by accurately administering benefits. The primary functions of the Tester, Benefit Configuration involve performing and documenting benefit configuration testing ensuring Navitus maintains an accurate, efficient, and versatile claims adjudication system. This position develops tactical tasks and...

Due to growth, we are adding Benefit Configuration Trainer to our team!   This position ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members and pharmacies by accurately administering benefits. The Trainer, Benefit Configuration facilitates and completes the new hire training program within CAO. This position requires knowledge of both the technical and operational sides of the business utilizing Navitus’ adjudication system and other applications. The Trainer, Benefit Configuration will closely collaborate with CAO coaches and benefit...

Due to growth, we are adding a Utilization Management Analyst to our Prior Authorization department!   The Analyst,

The Senior Client Support Representative is responsible for the overall performance of member services functions for a specific client. They work independently with limited supervision. They execute their role utilizing processes, technology, and customer service skills. They stand ready their client’s members with guidance, knowledge, escalation needs, appropriate overrides and other support functions through direct, proactive support of each member’s needs. A deep understanding of Archimedes culture and mission is vital to the success of this position.

This is an onsite role based at our Lumicera headquarters located at 310 Integrity Dr, Madison, WI 53717.  

This is a Hybrid position in Madison WI. This role offers a $5k sign on bonus of a highly qualified candidate.   Navitus Health Solutions is seeking a Billing Manager to join our Accounting department! 

Navitus Health Solutions is seeking a Implementation Project Manager to join our team!   The Project Manager, Implementation HP Strat. Clients (IPM) is a highly motivated professional with at least 4-6 years of successful project management experience. This IPM will interface with health plans and strategic employer clients which may include a government program component to manage projects including transitioning clients to Navitus from their current PBM, implementing new services/programs, facilitating a change in vendor relations, i.e. TPA, disease management organization, etc. and more. The position is responsible for the building an early relationship with the clients so they learn to trust us and have confidence that their transition needs will be successfully...

Navitus Health Solutions is seeking a Training and Development Coordinator to join our Human Resources department! Under the direction of the Manager, Learning & Development, the Training Coordinator (TC) will deliver highly interactive, engaging, and impactful virtual instructor-led and instructor-led training opportunities. The TC will support the ongoing efforts such as facilitating new hire orientations; coordinating, scheduling, and assisting ongoing training initiatives; resource and knowledge management; and regular marketing of the learning function. This person will utilize the corporate learning management system (LMS) to assign training, update transcripts, and measure training success. This may include the development of online courses for...

Navitus Health Solutions is seeking a Lean Portfolio Manager, EPMO to join our team!   The Lean Portfolio Manager, EPMO is a highly collaborative role responsible for managing portfolio epics and developing business cases. The Lean Portfolio Manager, EPMO partners with key stakeholders to identify, define, and refine epics and to articulate value and benefits to the organization. Additionally, the Lean Portfolio Manager, EPMO will guide epics through the various stages of Portfolio Management and partner with Release Train Engineers, Enterprise Architecture, Business Leads, and agile delivery teams to initiate the development activities...

Archimedes is a specialty medical management company with an industry-leading technology platform that client groups can use to manage specialty medical spend. We are looking for an experienced Sr Software Developer to join our technology team.

Archimedes is a specialty medical management company with an industry-leading technology platform that client groups can use to manage specialty medical spend. We are looking for an experienced Sr Software Developer to join our technology team.

Navitus Health Solutions is seeking a Medicare Services Executive to join our Government Programs department's team! 

Due to growth, we are adding an Analyst, IT Governance to our IT Infrastructure Services department.    The Analyst, IT Governance is responsible for developing and maintaining IT policies, procedures, guidelines, and standards in alignment with ITIL best practices. This role will work directly with application developers, business users, internal IT,...

This is a hybrid position in Madison WI at least three days a week.    Due to growth, we are adding a Paralegal to our Legal and Regulatory Affairs department!    This Paralegal role will report to the Assistant General Counsel -Contracts and support in drafting contracts and other legal documents for Navitus Health Solutions, LLC and its Subsidiaries. This role may also support Navitus, Lumicera, and their subsidiaries by (a) managing licensing processes; (b) drafting legal documents and templates, managing document templates and corporate legal...

Navitus Health Solutions is seeking a Rebate Account Specialist II to join our Rebate Operations department!   The Rebate Account Specialist II is responsible for analyzing, understanding and implementing PBM to GPO and pharmaceutical manufacturer rebate submission and reconciliation processes. This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate Account Specialist II will work with the IRC Contracting/strategy team to ensure rebate submission...

Navitus Health Solutions is seeking a Business Analyst, Government Programs, Med-D to join our Government Programs Technical Operations department!   The Business Analyst provides business analysis support for development, implementation, and maintenance of all products within the Technical Operations Department. The Business Analyst interacts with key operating departments related to Technical Operations business development and operational compliance. The Business Analyst also understands the roles and responsibilities of the business area and how it fits...

Due to growth, we are adding Client Onboarding Advisor - Pharmacy Network Management to our Pharmacy Network Operations department!   The Client Onboarding Advisor will play a key role during new client implementations to understand the client’s current processes, requirements and goals and will cross reference these to Navitus’ product offerings to strategize on how to meet the client’s needs. This individual is responsible for the creation and execution of onboarding plans created specifically for the client and will oversee the entire onboarding process end-to-end for their functional area. The Client Onboarding...

Due to growth, we are adding a Patient Care Assistant to our team!     Under general direction of the Supervisor, Pharmacy Services the person employed in this Patient Care Assistant/ Customer Service position will assist with the Specialty Pharmacy programs. Primary responsibility is to effectively communicate with patients, physicians, pharmacists, and payers to assist in the fulfillment and patient care of specialty pharmacy...

Due to growth, EpiphanyRx is adding an Account Manager to the team!    The Account Manager will be part of an account team that values our client...

Due to growth, we are a Specialist, Specialty Pharmacy Account Management Operations adding  to our Trade Relations department.   The Specialist, Specialty Pharmacy Account Management Operations, will support and enable the operations of their assigned specialty pharmacy business line to ensure seamless operational delivery and service is provided for patients of the client. This role will be responsible for coordinating and completing tactical and operational projects required for accurate client relationship management (CRM) activities....

Due to growth, we are adding a Sr. Business Intelligence Analyst to our FFS Solutions Resources department.  

Due to growth, we are adding Systems and Quality Analyst Manager to our team.    The Systems and Quality Analyst Manager will provide support for the development, implementation, and maintenance of our FFS Medicaid products. The FFS implementations require full compliance...

This is a Hybrid position in Madison WI    This is a Hybrid position in Madison WI. This role offers a $5k sign on bonus of a highly qualified candidate.   Due to growth, we are adding a Manager, Accounting with strong ERP experience to work within our Corporate Accounting department.   The Manager, Accounting is responsible for overseeing the day-to-day operations of the Accounts Payable function...